Balance performance and fear of fall improvement for elderly women living in Ongkharak and Bang-lookseir subdistrics of Nakhonnayok province by a community-based service

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Saitida Lapanantasin Wassana Techovanich Punpissa Na Songkhla Yuparat Odglun Sunantha Wikam


Objective: Promoting balance performance of elderly women to prevent falls is very important. This study aimed to follow up the effects of a proactive community-based service, by using a small group discussion with workshop practice of a home-based balance training program, on balance performances and fear of falls (FoF) of elderly women on the 4th week (wk4) after the service.

Methods: Data collected from balance promoting service for the elderly women living in Ongkharak and Bang-lookseir subdistrics, Nakhonnayok, Thailand were analyzed. The data included of balance performances measured by Berg balance scale (BBS), functional reach test (FRT) and timed up and go test (TUG), and FoF evaluated by Thai geriatric fear of falling questionnaire before (wk0) and after the service on wk4. All parameters of wk0 were compared with that of wk4 by paired t-test.

Results: Fifty women, aged 60-85 years (mean ± SD, 71.06+6.96 years), attended the service and volunteered to be re-evaluated their balance performances and FoF on wk4 following self-exercise by the home-based program for balance training of the service. On wk4, the elderly women significantly demonstrated the better balance performances assessed by BBS, FRT and TUG(p=0.001,p=0.05andp=0.001 respectively), and showed a lesser FoF compared to wk0 significantly(p=0.001).

Conclusion: The proactive community-based service of this study, implemented by a small group discussion with practical workshop of home-based balance training program, was an available balance promotion model of the service for elderly women in community because it improved balance performances and reduced FoF of the elders.


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Lapanantasin S, Techovanich W, Na Songkhla P, Odglun Y, Wikam S. Balance performance and fear of fall improvement for elderly women living in Ongkharak and Bang-lookseir subdistrics of Nakhonnayok province by a community-based service. Thai Journal of Physical Therapy [Internet]. 16Aug.2015 [cited 24Mar.2018];37(2):63-7. Available from:
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1. สำนักงานสถิติแห่งชาติ. รายงานการสำรวจประชากรสูงอายุในประเทศไทยพ.ศ. 2550

2. มูลนิธิสถาบันวิจัยและพัฒนาผู้สูงอายุไทย (มส.ผส.). สถานการณ์ผู้สูงอายุไทยพ.ศ. 2547

3. ชูชัย ศุภวงศ์, สมศักดิ์ ชุณหรัศมิ์, ศุภกิจ ศิริลักษณ์ และคณะ คู่มือการให้บริการของโรงพยาบาลส่งเสริมสุขภาพตำบล,กรุงเทพฯ; โรงพิมพ์องค์การสงเคราะห์ทหารผ่านศึก, 2552: 167.

4. Sturnieks DL, George RS, Lord SR. Balance disorders in the elderly. ClinNeurophysiol, 2008; 38: 467-78.

5. Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture, 2003: 18; 101-8.

6. Jitapunkul S, Na Songkhla M, ChayovanN, ChirawatkulA, ChoprapawonC, KachondhamY, BuasaiS. Fall and their associated factors: A national survey of the Thai elderly. J Med Assoc Thai, 1998; 81: 233-242.

7. Shumway–Cook A, Gamber W, Baldwin M, Liao S. The effect of multidimensional exercises on balance, mobility, and fall risk in community – dwelling older adults. PhysTher, 1997; 77: 46 – 57.

8. Legters K. Fear of falling. Phys Ther. 2002;82:264-72

9. Scheffer AC, Schuurmans MJ, Dijk N, Hooft T, Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons (systematic review). Age and Ageing, 2008; 37:19–24.

10. Barnett A, Smith B, Lord SR, Williams M, Baumand A. Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial. Age Ageing, 2003; 32:407-14.

11. สายธิดา ลาภอนันตสิน, ไพจิตรา พรหมวิชัย, วีนัส ฉายแก้ว, อัจฉราภรณ์ บิดา. การพัฒนาโปรแกรมการออกกาลังกายแบบกลุ่มเพื่อฝึกการทรงท่าสาหรับผู้สูงอายุไทยเพศหญิง. Thai Journal of Physical Therapy, 2011; 33: 78-88.

12. สายธิดา ลาภอนันตสิน, กฤตพร เติมกิจวาณิชย์, สุรินทร์ทิพย์ กิติทัศน์เศรณี, อุไรพรปรางศรี. ผลของโปรแกรมการออกกำลังกายแบบกลุ่มเพื่อฝึกการทรงท่าต่อความสามารถในการทรงท่าในผู้สูงอายุไทยเพศหญิงที่มีระดับกิจกรรมทางกายต่างกัน: การศึกษานำร่อง. Thai Journal of Physical Therapy, 2013; 35: 1-15.

13. Berg K, Wood-Dauphinee S, Williams JI. The Balance scale: reliability assessment for elderly residents and patients with an acute stroke. Scand J Rehab Med, 1995: 27; 27-36.

14. Berg K, Maki B, Williams JI, Holliday P, Wood-Dauphinee S. A comparison of clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil, 1992: 73; 1073-1083.

15. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol,1990;45:M192-7.
16. Weiner DK, Duncan PW, Chandler J,Studenski SA. Functional reach: a marker of physical frailty. J Am GeriatrSoc, 1992;40: 203-7.

17. Wall JC, Bell C, Campbell S, Davis J. The timed get-up-and-go test revisited: measurement of the component tasks. J Rehab Res Dev, 2000: 37; 109-114.
18. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991;39:142-8.

19. Sangpring P, Vongsirinavarat M, Hiengkaew V, Kaewkungwal J. Development of a Geriatric Fear of Falling Questionnaire for Assessing the Fear of Falling of Thai Elders. J Phys Ther Sci, 2012; 24:359-64.




23. ChiacchieroMi, Dresely B; Silva U; DeLosReyes R; Vorik B. The Relationship Between Range of Movement, Flexibility, and Balance in the Elderly. Topics in Geriatric Rehabilitation, 2010; 26: 148-155.
24. Daubney ME, Culham EG. Lower-extremity muscle force and balance performance in adults aged 65 years and older. PhysTher, 1999; 79:1177-1185.

25. Muehlbauer T, Roth R, Bopp MI, Granacher U. An Exercise Sequence for Progression in Balance Training. J Strength Condition Res, 2012; 26: 568-574.
26. Newton RA. Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. J Gerontol A Biol Sci Med Sci, 2001;56:M248-52.

27. Mackey DC, Robinovitch SN. Mechanisms underlying age-related differences in ability to recover balance with the ankle strategy. Gait & Posture, 2006; 23: 59–68.